AB1696 COMPARISON OF THE EFFECTIVENESS OF THE PERSONALIZED SCHROTH EXERCISE AND CONVENTIONAL THERAPY FOR SCOLIOSIS IN CHILDREN WITH RHEUMATIC DISEASE
Authors: E. P. Kisa, E. Tarakci, G. Leblebici, M. Cacan, O. Kasapcopur
Journal: Annals of the Rheumatic Diseases (2023)

<h3>Background</h3> Childhood rheumatic disease is one of the most common chronic diseases in childhood and adolescence [1]. In particular, it causes weakness, pain, problems in the musculoskeletal system, displacement of the center of gravity, deteriorating biomechanics and muscle imbalance results in scoliosis [2]. Scoliosis is one of the most common musculoskeletal problems encountered in children and adolescents today. In the literature, there are many current studies describing various exercise methods (especially Personalized Schroth Exercise-PSE) that are effective on scoliosis [3, 4]. However, there are no studies investigating the effectiveness of these exercise methods in children with rheumatism. <h3>Objectives</h3> Our study, it was aimed to compare the conventional theraphy program with PSE in children with scoliosis and rheumatic disease. <h3>Methods</h3> PSE for the first group (n=25) and conventional therapy (CT) exercises for the second group (n=25) were applied for 6 months. Demographic features were measured using the "Sociodemographic data Form". Pain states (involved joint pain and back pain) were measured with a numerical rating scale (NRS), flexibility was measured with sit and reach and trunk lateral flexion test, angle of trunk rotation (ATR) was measured with forward bending test, scoliosis angle was measured with Cobb angle. Perception of cosmetic deformity was questioned via The Walter Reed visual assessment scale (WRVAS) and PostureZone program. SPSS 24.0 was used for statistical analysis. p&lt;0.05 was considered statistically significant. <h3>Results</h3> There was no statistically significant difference between the groups in terms of age, height, weight, BMI and disease duration and bone development, gender, diagnosis of rheumatism, pain status, flexibility, ATR, Cobb angles, WRVAS and posture parameters at the beginning of the study. The comparison of pain, flexibility, ATR, Cobb angles, and SRS-23 scores of the cases within and between groups is shown in Table 4.6. After the treatment, significant changes were obtained between the trunk rotation angles and Cobb angles of the patients in both groups, while the pain score in the involved joint changed only in Group 1. There were no statistically significant results in spine pain. In the changes obtained after treatment, joint pain, pain, sit and reach, ATR and Cobb angles showed statistically significant improvement in Group I compared to Group II. The comparison of the results of the WRVAS and PostureZone scores of the cases within and between groups, while the sub-parameters of WRVAS and PostureZone of the patients increased significantly in both groups within the post-treatment group, a significant improvement was observed in the sub-parameters of WRVAS and PostureZone in Group I. <h3>Conclusion</h3> At the end of this study, PSE and CT applied to children with rheumatism had a corrective effect on flexibility, ATR, Cobb, WRVAS, posture. PSE were more successful than CT in improving these parameters. The results of our study, which we planned to investigate the effectiveness of PSE, showed that this method has superior aspects in many parameters compared to CT in children with rheumatism, and it may be beneficial to be included in the treatment plan. <h3>References</h3> [1]Cassidy, J.T., et al., 2010, Textbook of pediatric rheumatology E-Book. Elsevier Health Sciences. [2]Merker, J., et al., 2015 Pathophysiology of juvenile idiopathic arthritis induced pes planovalgus in static and walking condition—A functional view using 3d gait analysis. Pediatric Rheumatology, 13(1), 1-11. [3]Kuru Çolak, T. and B. Akçay, 2020, Current Exercise Approaches in Scoliosis Treatment. Archives of health science and research (Online), 7(2),196-200. [4]Berdishevsky, H., et al., 2016, Physiotherapy scoliosis-specific exercises–a comprehensive review of seven major schools. Scoliosis and spinal disorders, 11(1), 1-52. <h3>Acknowledgements</h3> I have no acknowledgments to declare. <h3>Disclosure of Interests</h3> None Declared.